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On-line Equipment Quotation Request

Instructions: To request a quotation for hardware and or software for your organization, please complete the form below. MicroData will forward you a quotation for review and you may then purchase they items by following the instructions included with the quotation..

MicroData recognizes that there are wide variations in models, performance, capabilities, etc., and in addition prices for many items change weekly. If you are unsure about what is appropriate for your needs or what is current, check the box below marked 'have an engineer contact me' for a consultation.

If you wish to request items similar to a past purchase, please enter the quotation number in the appropriate field. 

Name*:  

Your e-mail address*:  

Best phone number to reach you*:  

Organization Name*:  

 I would like a MicroData engineer to contact me to discuss our hardware and software needs: Yes      Not Required

Qty Part # Description

Please reference our prior invoice/quotation # and update with a quantity of and current pricing
 

Notes or comments:

*required field